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Maryland rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.93 / $557.03 / $608.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.38 / $504.38 / $621.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.50 / $507.00 / $518.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.52 / $723.55 / $1,245.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.47 / $747.52 / $977.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.66 / $639.75 / $1,162.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $666.39 / $818.30